Psychiatric Services Sample Clauses
Psychiatric Services. CONTRACTOR shall provide psychiatric services that include psychiatric assessment, psychiatric treatment and psychiatric support services in accordance with all applicable laws and regulations. Psychiatric services shall include but not be limited to:
1. A psychiatric evaluation within twenty-four (24) hours of admission by a licensed psychiatrist. The initial psychiatric evaluation may be prepared by a Psychiatric Nurse Practitioner, and include a psychiatric history, diagnosis, and be completed in accordance with the current DSM/ICD-10. The initial psychiatric evaluation must be completed face to face and signed with an attestation by the licensed psychiatrist that they interviewed the Client and verified all information within the evaluation for the certification of medical necessity of acute psychiatric inpatient hospital services.
2. Psychiatric Services also include:
a. On-call psychiatric and medical coverage available twenty-four (24) hours a day/seven (7) days a week;
b. Medical history and physical examination of each COUNTY client within twenty-four (24) hours of admission.
c. Laboratory and diagnostic services as indicated throughout admission; this includes urine drug screens as applicable within the first twenty-four (24) hours of admission to assess underlying causes of the current crisis.
d. Assessment and re-assessment for voluntary and involuntary treatment;
e. Daily progress notes on all Clients by the Psychiatrist or a Nurse Practitioner working under the supervision of a psychiatrist as evidenced by psychiatrists countersigning the progress note(s);
3. A psycho-social assessment completed within forty-eight (48) hours of admission;
4. Psychometrics upon admission to gather clinical baseline and inform treatment decision-making and evidence-based practices;
5. Initiation of an ITP of each new Client within twenty-four (24) hours of admission;
6. An ITP for each Client must be completed with signatures of the treatment team and the Client (or explanation of inability to obtain) within seventy-two (72) hours of admission. All psychiatric, psychological, and social services must be compatible with the ITP;
7. Medication Services, including ongoing psychiatric medication evaluation and monitoring;
8. Nursing, psychological, and social interventions compatible with ITPs;
Psychiatric Services. Access to 24/7 psychiatric service provision is required as well as crisis and after-hours coverage. Psychiatry services should be available absent other specialty mental health services provision for ongoing medication management.
Psychiatric Services. Psychiatric services are defined as various professional activities or methods, performed by a licensed physician (except where noted in program specific services in Attachment A) with expertise in mental/behavioral health care as evidenced by:
a) Certification in Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology (ABPN), or
b) Certification in general psychiatry by the ABPN and clinical experience with children and adolescents.
c) Services may include diagnostic assessment, individual psychotherapy with evaluation and management, medication review with minimal psychotherapy, individual or group therapy with the youth(s) and consultation with agency staff. Telepsychiatry may be used when a local psychiatrist is not available. If telepsychiatry is utilized the provider must follow general clinical guidelines for this technology. All services (in- person or telehealth) must be HIPAA compliant.
i. The Contractor must provide psychiatric services to an individual youth, on an as needed basis, according to the youth’s treatment plan. The Contractor must engage the parent(s), medical and educational staff and any other relevant individuals involved in the youth’s treatment in the initial and ongoing evaluation process.
ii. The Contractor must provide psychiatric consultation or supervision of Contractor staff as necessary to assist staff in understanding the results of the psychiatric evaluation(s), implications for the youth’s treatment and identification of treatment interventions most appropriate for the youth.
iii. Psychotropic Medication must only be prescribed or adjusted by a youth’s psychiatrist or a psychiatrist with experience working with children and adolescent youth or the youth’s primary care physician if a psychiatrist is not available via telepsychiatry. Proper informed consent must be obtained. The Contractor must follow JRM 381, Medication Administration and related policy items.
iv. Within 24 hours of admission, a telephone call between the nursing staff of the accepting and referring programs (residential or hospital), at a minimum is to be held. The conversation must include:
a. A review and reconciliation of all medications.
b. The supply of medication that is accompanying the youth, including medications, prescriptions, or refills available to fill or transfer.
c. The overall health status of the youth, including current treatment and any diagnostic work up that will not be complete at the time of transition ...
Psychiatric Services a. Contractor shall provide one (1) admission or re-admission service of two (2) hour duration; one (1) annual note per year of one (1) hour duration; and one (1) progress note (medication check) per month of forty-five (45) minutes duration (including visit and documentation) for clients receiving services at the Intensive Care Level.
b. Contractor shall provide one (1) admission or re-admission service of two (2) hour duration; one (1) annual note per year of one (1) hour duration; and one (1) progress note (medication check) every other month of forty-five (45) minutes duration (including visit and documentation) for clients receiving services at the Intermediate Care Level.
c. Contractor shall provide one (1) admission or re-admission service of two (2) hour duration; one (1) annual note per year of one (1) hour duration; and one (1) progress note (medication check) every other month of forty-five (45) minutes duration (including visit and documentation) for clients receiving services at the Supportive Care Level.
d. Contractor shall provide one (1) admission or re-admission service of two (2) hour duration; one (1) annual note per year of one (1) hour duration; and three
Psychiatric Services. In addition to the Health Care Services ▇▇▇▇▇ furnishes to Indigents pursuant to the Handbook in accordance with Section 2.1, ▇▇▇▇▇ will ensure the appropriate availability of inpatient and outpatient psychiatric and behavioral health services for Indigents during the term of the Agreement. The specific requirements ▇▇▇▇▇ must fulfill in making these psychiatric and behavioral health services available to Indigents and in maintaining the availability of psychiatric and behavioral health services include:
a. The location of the inpatient and outpatient psychiatric and behavioral health services ▇▇▇▇▇ makes available to Indigents will be in Corpus Christi, Texas;
▇. ▇▇▇▇▇ will furnish or arrange transportation services (including coordination with law enforcement for transportation) for Nueces County Indigents requiring psychiatric and/or medical services between ▇▇▇▇▇’▇ inpatient psychiatric facilities and ▇▇▇▇▇’▇ off-site service facilities where Indigents can access psychiatric and/or medical services. ▇▇▇▇▇ will pay for such transportation services if not paid for by another source or furnished by another source without charge;
▇. ▇▇▇▇▇ will ensure that inpatient Indigents have access to appropriate medications upon a psychiatric discharge, consistent with the limitations in the Handbook;
▇. ▇▇▇▇▇ shall analyze the most appropriate facility for psychiatric and behavioral health services in conjunction with the Texas legislative initiative, House ▇▇▇▇ 3793, 83rd Legislature, Regular Session, 2013 Plan for the Appropriate and Timely Provision of Mental Health Services, which directs the Department of State and Health Services to develop a plan to ensure the appropriate and timely provision of mental health services, and other applicable initiatives;
▇. ▇▇▇▇▇ will provide psychiatric assessment and crisis stabilization services;
▇. ▇▇▇▇▇ will provide adequate availability of inpatient psychiatric beds for Indigents, patients under emergency detention warrant, and adult Behavioral Health Center of Nueces County (formerly Nueces County MHMR) patients. ▇▇▇▇▇ will evaluate and, as appropriate, modify such number of inpatient psychiatric beds in the future based on patient demand and community need;
▇. ▇▇▇▇▇ will provide an adequately and appropriately equipped commitment hearing location within or adjacent to ▇▇▇▇▇’▇ inpatient psychiatric facility;
▇. ▇▇▇▇▇ will provide access for law enforcement officers and others to bring Nueces County residents to ▇▇▇▇▇’▇ a...
Psychiatric Services. Benefits for in-patient and out-patient mental health care and substance abuse services shall be as outlined in Appendix J.
Psychiatric Services. 88. No GRC resident shall receive psychiatric medication without having been evaluated and diagnosed, in a clinically justifiable manner, by a board eligible or board-certified psychiatrist.
89. Psychiatric medications shall not be used in the absence of a behavioral treatment program, for the convenience of staff, or as a punishment, and shall be integrated with behavioral and other interventions through combined assessment and case formulation.
90. Before the non-emergency administration of psychotropic medication, and to the extent possible before the emergency administration of a chemical restraint, the psychiatrist and PCP, and others as appropriate, shall determine whether the risks of medication outweigh the benefits of medication and whether reasonable alternative treatment strategies are likely to be less effective or more dangerous than the medication.
91. For any resident receiving psychological and psychiatric services, the resident’s IDT shall determine the least intrusive and most positive interventions to treat the resident’s behavioral or psychiatric condition(s), and whether the resident will best be served primarily through behavior supports, individual or group counseling, education, adaptations to the environment, adjustments to the daily routine, pharmacology, or other interventions, in combination or alone. If the IDT concludes that the resident is best served through the use of psychiatric medication, the IDT must also specify non-pharmacological treatment, interventions, or supports in order to minimize the need for psychotropic medication as much as possible.
Psychiatric Services. Psychiatric services provided by a Texas licensed psychiatrist or mid- level practitioner who is qualified by education and/or experience to evaluate and treat Youth. These services include case consultation, psychiatric evaluation, diagnosis, treatment with psychotropic medication and other treatment recommendations and interventions to address youth’s identified mental disorder(s) that have an adverse impact on the individual's activities of daily living and functioning within TJJD operated facilities. They specifically include:
1. Psychiatric diagnostic interviewing, evaluation, and treatment of mental disorders in accordance with DSM 5 criteria and current trauma-informed clinical practices;
2. Psychotropic medication initiation, continuation. adjustment, and overall management as clinically indicated for treatment of mental disorders;
3. Participation with TJJD psychologists and other UTMB CMC health care and TJJD direct care staff in the multidisciplinary treatment planning efforts for youth with DSM-5 disorders and previous complex developmental trauma;
4. Recommendations for continuity of mental health and psychiatric aftercare services for youth identified to have psychiatric disorder(s) prior to release from a TJJD state school facility;
5. Provision of psychiatric evaluation and follow-up evaluations to include diagnostic interviews and mental status examinations, assessment of current signs and symptoms of DSM-5 disorders, and evaluation of a youth’s imminent risk of harm to self or others;
6. Additional consultation, recommendations, and coordination with TJJD Psychology services and the TJJD Medical Director, Nursing, and Central Leadership for clinical services, further clinical management and case consultation regarding suicide prevention and intervention strategies, post-release and discharge planning, and other disposition and treatment recommendations.
Psychiatric Services. When a youth transitions from the Contractor’s residential program to a hospital (general medical or psychiatric), the Contractor’s nurse will contact the hospital nursing staff (emergency department or floor/unit to which the youth is admitted) to coordinate care. This conversation must include:
Psychiatric Services. Access to psychiatric service provision is required as well as crisis and after-hours coverage. Psychiatry services should be available absent other specialty mental health services provision for ongoing medication management.